Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) NAHSSS Allied Health Clinical Psychology Scholarship Guidelines 2016

Size: px
Start display at page:

Download "Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) NAHSSS Allied Health Clinical Psychology Scholarship Guidelines 2016"

Transcription

1 Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) NAHSSS Allied Health Clinical Psychology Scholarship Guidelines 2016 The NAHSSS Allied Health Postgraduate Scholarship is funded by the Commonwealth Department of Health

2 Table of Contents INFORMATION FOR SCHOLARSHIP APPLICANTS GENERAL INFORMATION ELIGIBILITY CRITERIA SELF-ASSESSMENT CHECKLIST FOR NAHSSS CLINICAL PSYCHOLOGY SCHOLARSHIPS APPLICATION PROCESS DO NOT REPLY S WHEN ONE OF THE SECTIONS IS OUTLINED RED FINALISE AND SUBMIT SELECTION CRITERIA APPLICATION ASSESSMENT PROCESS CONDITIONAL OFFER LETTERS VALUE OF THE SCHOLARSHIP ACADEMIC AND PROFESSIONAL REFEREES APPEALS EFFECT OF OTHER SCHOLARSHIPS AND BURSARIES INFORMATION FOR SCHOLARSHIP RECIPIENTS NOTIFICATION AND ACCEPTANCE OF SCHOLARSHIP USE AND PAYMENT OF SCHOLARSHIP MONIES ACQUITTAL OF SCHOLARSHIP MONIES COPYRIGHT AND PUBLICATION TERMINATION OF SCHOLARSHIP VERIFICATION OF SUPPORTING DOCUMENTS DOCUMENT CERTIFICATION THE STATUTORY DECLARATION COMMENCEMENT OF SCHOLARSHIP PAYMENTS COMMONWEALTH SUPPORTED PLACES DURATION OF SCHOLARSHIP CHANGE IN COURSE OF STUDY SCHOLARSHIP PAYMENTS DEFERMENT WITHDRAWAL OR FAILURE IN STUDY REPAYMENT OF FUNDS PAYMENT RECONCILIATION SCHOLARSHIP PAYMENTS AND TAX/CENTRELINK BENEFITS COMMENCING AND COMPLETING SCHOLAR SURVEY GLOSSARY OF TERMS AND ACRONYMS P a g e

3 1. General Information Information for Scholarship Applicants The Australian Government aims to consolidate and build on workforce programs to ensure they better align with, and are able to respond to the needs of health professionals to train and practice, particularly in clinical areas and locations of particular need. The objectives of the consolidated Nursing and Allied Health Scholarship and Support Scheme are to: Increase the health workforce by facilitating the entry of jobseekers and youths interested in pursuing a career in nursing and allied health professionals. Facilitate the continued professional development of nurses and allied health professionals. Encourage the pursuit of a health career in both geographic areas and professions where there are shortages. The NAHSSS Clinical Psychology Scholarship guidelines form the basis for administration of a broad range of study arrangements for prospective clinical psychologists. There will be one round of scholarships offered in each calendar year. Applications received outside the application period will not be considered. Funding is only available to undertake courses offered by universities in Australia. Supporting documents are only required if you are successful in getting a scholarship. Only one application from each applicant can be considered for assessment. Scholarship applicants are not required to have an offer of place at a University when they apply. However, applicants must have researched the most appropriate course of studies and institutions and include their preferences at the time of applying for the scholarship. Those in receipt of a NAHSSS Clinical Psychology Scholarship are eligible to apply for the NAHSSS Clinical Placement Scholarship. The next round of application will open on 2 December 2015 and will close on 8 January An online application will be located on the Application Form on the Clinical Psychology Page of SARRAH website. Access to the application form becomes available only when the applications open. 2. Eligibility Criteria Those applying to commence or already enrolled in a clinical psychology postgraduate course in Australia can apply for this scholarship. The course must satisfy the Psychology Board of Australia Area of practice endorsement registration standards. It is the responsibility of the applicant to choose an eligible course. Identification of ineligibility of courses can occur at any stage during the application assessment and conditional offer phases. Applications are invited from across Australia; however, rurality and other criteria may be used as ranking tools where scholarships are oversubscribed. 3 P a g e

4 If you have been offered a scholarship under the NAHSSS and completed your funded activity less than 12 months before the commencement of this funding round, you are not eligible for this round of scholarships Eligibility Requirements Be an Australian citizen or permanent resident of Australia New Zealand citizens who arrived in Australia on or after 27 February 2001 must have applied for, and been granted Australian permanent residency to be eligible to apply for a scholarship. New Zealand citizens living in Australia prior to 27 February 2001 are eligible to apply for a scholarship. You will be required to provide proof that you have lived in Australia prior to 27 February Acceptable proof includes: 1. Official documentation showing your residential address in Australia prior to 27 February 2001 i.e. Centrelink payments, bank statements utility bills etc A certificate, issued under the Social Security ACT 1991, stating you were residing in Australia on 26 February Note: These certificates must be held retrospectively as they are no longer issued. Please click here for more information to determine your eligibility for Australian Citizenship/Residency. Be undertaking or applying to undertake a postgraduate clinical psychology course accredited by the Australian Psychology Accreditation Council (APAC) Have not already completed (by the end of 2014) a Clinical Master of Psychology 2.2. Eligible Courses Applicants must include their course and institution preferences when submitting the application for the Scholarship. The eligible courses are: Postgraduate professional clinical psychology programs offered by Australian Universities at the Master or Doctoral level. Only courses accredited by the Australian Psychology Accreditation Council (APEC) offered by coursework at the fifth and sixth year of study. Please see the list of Approved program of studies published in the Australian Psychology Board of Australia website at Psychology Board of Australia - Accreditation. 4 P a g e

5 3. Self-Assessment Checklist for NAHSSS Clinical Psychology Scholarships Are you an Australian Citizen or Permanent Resident? No You are not eligible Yes Will the proposed course provide the applicant with the qualification required by the Psychology Board of Australia for endorsement as a Clinical Psychologist? No You are not eligible Yes Have you been subject to an official or disciplinary action within the past two years? Yes You are not eligible No Are you currently in receipt of any other scholarship for more than $7,000 per annum or a scholarship/bursary funded by the Department of Health for the proposed study program? (This excludes the NAHSSS Clinical Placement Scholarship administered by SARRAH) Yes You are not eligible No Is your proposed course a Master/Doctorate of Clinical Psychology and accredited by APAC? No You are not eligible Yes Login to the application form and create a user name and password. You will receive a do not reply when you log in to the application and after you have successfully submitted an application. Please keep these s for future reference. Please visit this link: Step by Step instructions to complete application before you proceed with the application. 5 P a g e

6 4. Application Process Applications open on 2 December 2015 for funding in the following year. A link for the online application will be on the Clinical Psychology Scholarship page on the SARRAH website when applications open. The application form is not available before the opening date Do not reply s The applicant receives two (2) do not reply s. These s are automatically generated and may be delivered to your junk or spam mail box. 1. The first do not reply is sent to the address provided when the account is created confirming the user name and password and application code (NAHSSS_CLIN_PSYCH_2016.). These three (3) things must be entered exactly how they appear in the do not reply to log back into the application. 2. The second do not reply is confirmation that the application has been successfully submitted When one of the sections is outlined RED When a section has not been completed correctly, the text box or radio button will be outlined in red, move the cursor over each question and a message will appear. Please follow the instructions on the message Finalise and Submit It is the applicant s responsibility to print a copy of their application; this must be done before the application is submitted. The Scholarship Administrator will not print copies of the application for applicants. It is the applicant s responsibility to submit their on line application. Applicants that do not submit their application will not be notified. An automatically generated is sent to the applicant when the application has been submitted successfully. Depending on an individual s settings this may go straight to the spam or junk mail box. It is not the Scholarship Administrator s responsibility if this occurs. If you do not receive a confirmation this means your application has not been submitted. If you have any problems please contact the scholarship Administrator via postgrad@sarrah.org.au or by phone Selection Criteria The primary objective of the scholarship is to address workforce shortages in areas of geographical and clinical need. The selection criteria reflect this requirement. All claims made in the online application must be verified if the applicant is successful. 6 P a g e

7 Rural, remote or regional background Aboriginal and or Torres Strait Islander background Culturally and Linguistically Diverse (CaLD) background Demonstration of affiliation to one of the above mentioned criteria Rural Remote or Regional Background The Australian Standard Geographical Classification Remoteness Area (ASGC-RA) tool is used to define rurality. An ASGC-RA ranking of two (2) and above is considered rural. Go to Doctor Connect to search for a town s ASGC-RA ranking. There are four classifications for rural status. 1. Currently residing and delivering a clinical service in an ASGC-RA 2 and above location. To claim rurality under this clause the applicant must show they have delivered a continuous clinical service in a rural, regional or remote area for the previous 12 months. A continuous clinical service means at least 10 hours per week of direct client/patient contact providing direct treatment, intervention or assistance, assessment, client management and education across the health care system. Self-employed applicants are required to provide a certified copy of their professional indemnity insurance, Registered Business name and ABN that shows the applicant has provided the clinical service for at least the preceding 12 months. 2. Currently residing and working (full-time or part-time) in a non clinical capacity in an ASGC-RA 2 and above location. 3. The applicant undertook primary or secondary schooling in an ASGC-RA 2 and above location only in Australia. Applicants who have attended primary school in rural and remote areas overseas are not considered under this category. 4. The applicant has lived for eight cumulative years in an ASGC-RA 2 and above location. Aboriginal and or Torres Strait Islander Applicants An Aboriginal and or Torres Strait Islander person is one who; Is of Aboriginal and or Torres Strait Islander descent. Identifies as an Aboriginal and or Torres Strait Islander person. Is accepted as being of Aboriginal and or Torres Strait Islander descent in the community in which she or he lives or has lived. Cultural and Linguistically Diverse (CaLD) Status Cultural and linguistic diversity refers to the wide range of cultural groups that make up the Australian Population. A person from a CaLD background meets one of the following criteria: 7 P a g e

8 Arrived in Australia as an immigrant or refugee from a non-english speaking country. A child of migrant parents (mother and father) both of whom are from a non- English speaking country. Demonstration of affiliation to one of the above mentioned criterion Where the applicant does not have a rural, remote or regional background, CaLD background or Aboriginal or Torres Strait Islander background, he or she has the opportunity to explain their affiliation with one or more of these groups in the selection criteria question 8. The following selection criteria questions are set out in the application form reflecting the objectives of the scholarship scheme. Selection Criterion 1: In which area/s of clinical psychology are you interested and what contribution do you see yourself making in the future ( word limit) Selection Criterion 2: Outline your future commitment to working in an area of geographical need ( word limit) Selection Criterion 3: Did you attend primary school in a rural, remote or regional area? Selection Criterion 4: Have you spent 8 cumulative years living in a rural or remote area? Selection Criterion 5 Do you currently live and work in a rural or remote area? Selection Criterion 6: Are you an Aboriginal and or Torres Strait Islander Applicant? Selection Criterion 7: Are you from a cultural and linguistically diverse (CaLD) background? Selection Criterion 8: If you do not have a CaLD, Indigenous or rural remote background can you demonstrate your affiliation/identity with one of these groups? Applicants will need to answer this question if you do not have a rural or remote background, are not cultural or linguistically diverse or of Aboriginal or Torres Strait Islander Descent. 8 P a g e

9 6. Application Assessment process A Selection Assessment Panel, where relevant, will be chosen by the administrator to assist with the selection of successful candidates for scholarships. The members of the assessment panel will be drawn from a range of sources which may include relevant professional groups, rural and indigenous organisations and educational institutions. Applications are invited from across Australia; however, rurality and other criteria may be used as a ranking tools where scholarship places are oversubscribed. The Administrator will be responsible for selecting scholarship recipients and deciding on the number of scholarships to be given each year in accordance with these Guidelines and the Funding Agreement. If there are more applicants for scholarships than there are places available, not all applicants who meet the eligibility criteria will be offered a scholarship. There is a three-stage selection process to determine which applicants are offered a scholarship: 1. Applications are first assessed against the eligibility criteria. The applications that meet these criteria move to Stage Eligible applications will be forwarded to the Assessment Panel for consideration. Applications are ranked against the written answers to the selection criteria. The selection criteria will be developed by the Administrator and will be identified in the Application Form. 3. The scores from the assessment panel are combined with a ranking assigned to the other selection criteria to determine an Order of Merit. Following this process, the Administrator will select scholarship recipients and all applicants will be advised of the outcome of their application by . Successful applicants will be offered a scholarship and must advise acceptance in writing. If an applicant forfeits or declines an offer of a scholarship place, that place will be offered to the next applicant on the Order of Merit. The Order of Merit is valid for that year s application round only. Unsuccessful applicants can reapply in future years. The Order of Merit will not be made publicly available and applicants will not be informed of their rank. Applications received outside of the advertised application periods will not be considered. 7. Conditional Offer Letters The successful applicants will receive a conditional offer by by 1 st week of February. To accept the offer, return by mail the signed acceptance of offer form and all certified 9 P a g e

10 supporting documents with proof of enrolment before the due date to the following address. Scanned ed copies or faxed documents will not be accepted. Clinical Psychology Scholarship Administration Team Services for Australian Rural and Remote Allied Health PO Box 74 Deakin West ACT Value of the Scholarship Funding is for a maximum of two years for full time study or four years for part time study. The maximum scholarship entitlement is $30,000 regardless of the course of study either Clinical Masters or Doctorate. Where the applicant has already started the course, the funding will be at a pro-rata rate for the uncompleted study component. There will be no extension of funding beyond two years (full time study). The scholarship is not retrospective. 9. Academic and Professional Referees Academic and Professional referees are not required. The Administrator accepts admittance into an APAC accredited clinical psychology course as sufficient proof of an applicant s academic and professional performance. 10. Appeals There is no appeal process for the NAHSSS Clinical Psychology Scholarship. Applicants may not appeal the selection of scholarship recipients or the amount of funding awarded. 11. Effect of Other Scholarships and Bursaries Those in receipt of another scholarship or bursary funded by the Department of Health are ineligible for this scholarship. Students who are undertaking accredited Clinical Psychology Master or Doctoral level are eligible to apply for and receive the NAHSSS Clinical Placement Scholarship. When the scholar is receiving another award or scholarship, that provides a benefit greater than $7,000, then either the non-nahsss or the NAHSSS Scholarship must be reduced by the amount that exceeds $22,000 per annum. Where the total value of both scholarships exceeds $22,000 the scholar must relinquish one of the scholarships, to be eligible for the NAHSSS Clinical Psychology Scholarship. 10 P a g e

11 Information for Scholarship Recipients Conditional scholarship offers are made based on the Order of Merit. All applicants will be notified by by in the second week of February. To accept the conditional offer, the applicant is required to agree to the Terms and Conditions of the Scholarship and provide certified copies of documents to verify the information provided in the online application. The precise documentation is explained in the subsequent sections. 1. Notification and Acceptance of Scholarship Once the successful applicants are awarded a scholarship under the Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) the scholarship offer must be formally accepted and returned to the Scholarship Administrator by the due date with all completed relevant documentation. Failure to accept the offer by the due date may result in forfeiture of the scholarship. Once all the documentation is received and verified and the Administrator is satisfied with the documentation the scholarship is confirmed. 2. Use and Payment of Scholarship Monies Payment of scholarship monies is subject to receipt of the applicant s written acceptance of the Terms and Conditions of the scholarship. The scholarship funds can cover expenses such as course fees, travel, accommodation internet connection and text books. This list is a guide to use the scholarship funds and not a prescriptive list. Expenditure of scholarship monies shall be in accordance with the application and guidelines for the Scheme as well as the terms and conditions of the scholarship. Approval must be sought in writing from the Scholarship Administrator for any variation of the use of scholarship monies. No payment is made until the scholarship holder provides the Scholarship Administrator with evidence of enrolment in the approved activity. The provision of bank account details. The scholarship money is only paid into the bank account of the scholarship holder s personal name. No payments are made to a third party. The exception is if the account is held jointly with a spouse. Scholarship payments will be made by installments either monthly or by semester for the duration of the funded period. The Scholar shall submit evidence of continuing enrolment in the approved activity by the beginning of each semester. Progress payments will not be made until this evidence is provided 3. Acquittal of Scholarship Monies The Scholar is not required to provide receipts for expenditure. 11 P a g e

12 4. Copyright and Publication Unless agreed otherwise: All publications resulting from the approved scholarship shall acknowledge that the work has been supported by an award from the NAHSSS funded by the Commonwealth Department of Health. Publications shall also include a statement to the effect that the views expressed in that publication do not necessarily represent those of the NAHSSS, its Administrator, Services for Australian Rural and Remote Allied Health (SARRAH) and/or the Government Department of Health. One (1) copy of each journal article and one (1) copy of any report or book specifically related to work supported by the scholarship, or any media release, shall be provided to the Scheme Administrator by the scholar. 5. Termination of Scholarship The Scholarship Administrator may terminate a scholarship where: Evidence of continuing enrolment in the approved activity is not received or no request for deferment has been made to the Scholarship Administrator by the university census date. Satisfactory progress in the approved activity is not made. The scholar withdraws from the funded activity. The scholar transfers to a different course of study. The scholar ceases to be an Australian citizen or permanent resident. If the scholar breaches any rules or guidelines in these terms and conditions. The scholar accepts another scholarship funded by the Commonwealth Department of Health (Except the NAHSSS Clinical Placement Scholarship) or accepts any other scholarship or bursary valued at more than $7,000 per annum. The scholar fails to contact the Scholarship Administrator regarding any changes that affect the scholarship within fourteen (14) days. 6. Verification of Supporting Documents All successful applicants will be advised to provide required documents to accept the conditional offer. The required documents are listed in the conditional offer letter. Generally the following documentation is required to accept the conditional offer. 1. Signed and witnessed acceptance of offer document This document is available at Acceptance of Offer Documents on the Clinical Psychology Scholarship page on the SARRAH website. Any person can witness your signature on the document. 12 P a g e

13 2. Certified proof of Australian citizenship/or permanent resident status Please provide a certified copy of one of the following: Birth Certificate. Passport bio data page and relevant pages of the passport showing the resident status in Australia. Naturalization or citizenship documents. For New Zealand citizens a copy of the details page from your New Zealand passport. Entitlement verification document issued by the Department of Immigration and citizenship. A certified copy of a citizenship document is to verify that you are an Australian citizen and/or that you are eligible to live in Australia permanently. If the name on the document you provide to verify your Australian citizenship is different to the name on your application, please provide a certified copy of a document, which verifies your change of name. This could be a marriage certificate, a deed poll or other legal document. New Zealand citizens who arrived in Australia on or after 27 February 2001 must have applied for, and been granted Australian permanent residency to be eligible to apply for a scholarship. New Zealand citizens living in Australia prior to 27 February 2001 are eligible to apply for a scholarship. You will be required to provide proof that you have lived in Australia prior to 27 February Acceptable proof includes: 1. Official documentation showing your residential address in Australia prior to 27 February 2001 i.e. Centrelink payments, bank statements utility bills etc A certificate, issued under the Social Security ACT 1991, stating you were residing in Australia on 26 February Note: These certificates must be held retrospectively as they are no longer issued. New Zealand citizens entering Australia are granted a Special Category (SCV) which allows them to lawfully live and work in Australia indefinitely. However, the SCV is a temporary visa and does not entitle the holder to access the full range of benefits for which permanent residents are eligible. 3. Documents to prove your Aboriginal or Torres Strait Islander Status If you have indicated on the application that you are of Aboriginal or Torres Strait Islander descent a signed declaration by an official from an incorporated Aboriginal or Torres Strait Islander organisation is required. 13 P a g e

14 4. Completed bank account details form The bank account must be in the name of the applicant. Scholarship funds will not be paid to third parties, trust accounts, businesses or to the provider of the funded activity. The only exception is a bank account jointly held with spouse. This document can be located Acceptance of Offer Documents through the Clinical Psychology scholarship page on the SARRAH website. 5. Signed Statement of Declaration The Statement of Declaration is available through the Acceptance of Offer Documents on the Clinical Psychology scholarship page on the SARRAH website. Please ensure all the boxes are ticked to show that you agree to all the terms and conditions of the scholarship. 6. Documents to Prove Rural and Remote If you have indicated in the application that you have attended primary school in a rural, remote or regional area, you will need to provide a certified copy of the primary school report. If you have indicated in the application that you have spent 8 cumulative years in rural or remote areas, you will need to provide documentation to prove this i.e. utility bills etc If you indicate in the application that you live and work in a rural and remote area, a letter from your current employer, on a letterhead stating your length of service. To claim rurality under this clause the applicant must show they have delivered a continuous clinical service in a rural, regional or remote area for the previous 12 months. If you are self employed you must provide a statutory declaration with the date you became self employed and the ABN number of your business. Where the length of employment is under 12 months, the scholarship administrator has the discretionary power to review the application and offer a scholarship. 7. Cultural and linguistically diverse background International Passport pages that show permanent residency visa Refugee visa Letter of confirmation from the President or Chairperson of a cultural community group you belong to, including the organisation s common seal. Documentation that proves that both of your parents are migrants from a non English speaking background (birth certificate). Documentation that proves the applicant is their child (birth certificate). 14 P a g e

15 8. Proof of enrolment A document from the university showing you are currently enrolled in an accredited clinical psychology study program is required. The scholarship can be provisionally accepted if enrolment will not be confirmed until the due date to accept the conditional scholarship offer. If you do not receive a confirmation of enrolment by the due date, accept the conditional offer provisionally and return the documents. The scholarship offer will be confirmed when the proof of enrolment is received by the administrator. 7. Document Certification All documents need to be certified, except the proof of enrolment. The certifying officer must: Write on the copy This is a true copy of the original documents sighted by me Sign and print their name Provide an address and a contact telephone number State their profession or occupation group (as below) Write on the copy of the date certified; and Affix the official stamp or seal of the certifier s organisation on the copy If the certifying officer is a Justice of the Peace, the certifying offer must list registration number and state/territory of registration. (1) a person who is currently licensed or registered under a law to practise in one of the following occupations: Chiropractor Dentist Legal practitioner Medical practitioner Nurse Optometrist Patent attorney Pharmacist Physiotherapist Psychologist Trademarks attorney Veterinary surgeon (2) a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or (3) a person who is in the following list: Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955) Bailiff 15 P a g e

16 Bank officer with 5 or more continuous years of service Building society officer with 5 or more years of continuous service Chief executive officer of a Commonwealth court Clerk of a court Commissioner for Affidavits Commissioner for Declarations Credit union officer with 5 or more years of continuous service Employee of the Australian Trade Commission who is: (a) in a country or place outside Australia; and (b) authorised under paragraph 3 (d) of the Consular Fees Act 1955; and (c) exercising his or her function in that place Employee of the Commonwealth who is: (a) in a country or place outside Australia; and (b) authorised under paragraph 3 (c) of the Consular Fees Act 1955; and (c) exercising his or her function in that place Fellow of the National Tax Accountants Association Finance company officer with 5 or more years of continuous service Holder of a statutory office not specified in another item in this list Judge of a court Justice of the Peace Magistrate Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961 Master of a court Member of Chartered Secretaries Australia Member of Engineers Australia, other than at the grade of student Member of the Association of Taxation and Management Accountants Member of the Australian Defence Force who is: (a) an officer; or (b) a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service; or (c) a warrant officer within the meaning of that Act Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practising Accountants or the National Institute of Accountants Member of: (a) the Parliament of the Commonwealth; or (b) the Parliament of a State; or (c) a Territory legislature; or (d) a local government authority of a State or Territory 16 P a g e

17 Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961 Notary public Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office supplying postal services to the public Permanent employee of: (a) the Commonwealth or a Commonwealth authority; or (b) a State or Territory or a State or Territory authority; or (c) a local government authority; With 5 or more years of continuous service who is not specified in another item in this list Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made Police officer Registrar, or Deputy Registrar, of a court Senior Executive Service employee of: (a) the Commonwealth or a Commonwealth authority; or (b) a State or Territory or a State or Territory authority Sheriff Sheriff s officer Teacher employed on a full-time basis at a school or tertiary education institution What do the above Authorised Officers need to do to certify your documents? Certify that each document is a true copy of the original Certify that the photograph on the photographic documentation (e.g. licence or passport) is a true likeness of the applicant Witness the signature of the applicant. 8. The Statutory Declaration Where the applicant claims one of the three selection criteria (Rurality, CaLD, Aboriginality) they must provide certified documents to prove this. When documentary evidence is not available the applicant can provide a sworn statement (Statutory Declaration) that explains in detail and in a verifiable way why they cannot provide evidence for the information provided in the on line application. Just declaring that you are either CaLD, live in a rural location or are of Aboriginal descent in a statutory declaration will not be accepted. Example for the wording on the Statutory Declaration I cannot provide my school reports that prove I undertook my primary schooling in an ASGC-RA location because these records were located at my parent s house that 17 P a g e

18 was inundated in the 2010 Queensland floods. My parents address is XX Kingsford Smith Drive Albion. The details in the Statutory Declaration must be verifiable. As part of the funding agreement with the Commonwealth of Australia, as the administrator of the NAHSSS Allied Health Streams, SARRAH is required to keep financial records so as to enable the audit of these records in accordance with Australian Auditing Standards. Scholar files and the Acceptance of Offer documents are subject to annual audit. 9. Commencement of Scholarship Payments Scholarship recipients must commence study within the identified year for which the scholarship is awarded. The time period for which the scholarship applies will be identified based on the information provided in the application form and the scholarship entitlement will be calculated accordingly. For instance if you have completed 50 % of your study program at the beginning of the scholarship calendar year, your scholarship entitlement is for the remaining 50% of your study program. 10. Commonwealth Supported Places The scholarship recipient receiving a Commonwealth Supported place will not affect scholarship payments. 11. Duration of Scholarship Subject to the conditions below and the scholar s compliance with the terms of the scholarship, a scholarship will generally be continued for the standard duration of the scholar s course of study or the approved activity, and not extended beyond that time. In order to remain eligible for the scholarship, the scholarship recipient must: Continue to be an Australian citizen or Australian permanent resident. Be enrolled in an eligible course that results in an Australian nationally recognised and accredited qualification. Contribute to evaluation surveys conducted by the Administrator, as required. Provide proof of continuing enrolment each semester. 12. Change in Course of Study Where a scholarship recipient wishes to change their study or the approved funded activity in any way from that identified in their Application Form, for instance changing the location, duration or type of study or activity, the recipient must seek written approval from the Administrator. In considering its response, the Administrator will have regard to: Identified geographical and priority areas. 18 P a g e

19 Whether the scholar is enrolled in an accredited/approved course of study supported by the NAHSSS. Whether the scholar has yet received any NAHSSS payments. Any other matters the Administrator considers relevant. A scholarship must be surrendered if an applicant discontinues a course of study or enrols in a different course or activity without prior approval to continue their scholarship. The applicant may reapply for a NAHSSS scholarship in the next academic year. 13. Scholarship Payments The Scholarship is worth $15,000 per year a maximum of two years for full time study and $7,500 for a maximum of four years for part-time study. Scholarship payments will be on a full-time or part-time basis. Part-time payments are calculated as half of the full-time payments. Successful Scholarship holders may elect to have scholarship payments paid monthly (ten per year) or by Semester (two payments per year). No scholarship payments are made in January or December. For those with monthly payments November and February payments will be double payments. If you wish to change your scholarship payment options i.e to monthly or semester payments, you are allowed to change at the beginning of a semester. Scholarship funding will only be paid into the personal bank account of the successful scholar and not to a business, institution, trust account or organisation. 14. Deferment A scholarship holder may request a deferral of their scholarship. The Administrator may grant this request subject to: The scholarship holder having commenced their course of study and commenced receiving scholarship payments. A maximum of 12 months (or two academic semesters) deferral being permitted during the course of study. Deferrals being for whole periods of only one or two semesters (i.e. not for part of the semester, weeks or months). The deferral being supported by documentation from the university confirming that study has been deferred. Deferrals may be granted to assist students in balancing their study, family and work needs. Students are not required to justify their need to defer or give detailed reasons. The scholarship cannot be deferred if the applicant did not secure a candidature in an eligible course. 19 P a g e

20 15. Withdrawal or failure in study The scholarship forfeits from the date the scholar withdraws from the funded program of study. The scholar is required to repay any part payment if withdrawal occurs before they commence their studies. For instance, if your received your first scholarship payment at or before beginning your studies and then you withdraw you will be required to refund the scholarship payment made to you. If you withdraw part way during a semester, you will be required to repay any funds paid in advance. Scholars should contact the Administrator to discuss if they will need to repay funds immediately they decide to withdraw from their course of study. If a scholar fails a complete semester, the scholarship will be withheld until the failed semester is repeated. The scholarship will not be extended to account for any failed units of study throughout the degree. 16. Repayment of funds If the scholarship recipient ceases to fulfil the terms of their scholarship and fails to inform the Administrator, they will be required to repay funds received from the time they ceased to be eligible. Ceasing to fulfil the terms of the scholarship may include: Withdrawal from study or funded activity at any time including after enrolment but before commence of study or funded activity. Change in course of study or funded activity. Ceasing to be an Australian citizen. Acceptance of another scholarship or bursary for this Clinical Psychology, such as for example the Western Australia Go Rural program, on the Queensland Office of Rural Health Subsidy Scheme, Acceptance of another scholarship or bursary funded by the Department of Health (except the NAHSSS Clinical Placement Scholarships) Acceptance of another scholarship or bursary that is valued at more than $7,000 per annum. 17. Payment reconciliation Scholars will not be required to provide documentary evidence of how they utilised scholarship funds. They will, however, be required to provide evidence of continued enrolment/academic progression/progress in the funded activity, as relevant, to ensure ongoing payment of the scholarship. 20 P a g e

21 18. Scholarship payments and Tax/Centrelink benefits Scholarship applicants and recipients are encouraged to seek advice from the Australian Taxation Office and/or Centrelink about any impact the awarding of a scholarship may have on their financial situation. Depending on the scholarship and the mode of study, scholarship payments may be taxable. Information is available from the Australian Taxation Office and from Centrelink at Commencing and Completing Scholar Survey All scholars are required to participate in a survey. The purpose of the survey is to find out: To what extent the Scholarship encourages Clinical Psychologist to provide clinical services in rural and remote areas What factors affect the decision to work in rural and remote areas regardless of whether the respondent received a scholarship for their Clinical Psychology study The causal relationship between the scholarship scheme and the number of Clinical Psychologists practicing in rural remote or regional Australia If you have further enquiries, please contact: NAHSSS Postgraduate Scholarship Administration team at: Phone: psychology@sarrah.org.au 21 P a g e

22 DoH Glossary of Terms and Acronyms Commonwealth, Department of Health NAHSSS Nursing and Allied Health Scholarship and Support Scheme. SARRAH AHPRA Services for Australian Rural and Remote Allied Health. The Scholarship Administrator. Australian Health Practitioners Regulation Agency. APAC Australian Psychology Accreditation Council. CaLD Cultural and Linguistically Diverse. ASGC-RA Australian Standard Geographical Classification- Remoteness Area. FTE Full Time Equivalent study. Applicant Scholar Deferment Termination Withdrawal A person who has applied for, but not yet received a NAHSSS Clinical Psychology scholarships A recipient of a NAHSSS Scholarship. Where Scholarship recipient delays commencement of their study program and the scholarship payments. SARRAH s decision to end the NAHSSS Scholar s scholarship payments before the completion of study. When a NAHSSS Scholar chooses to cease their scholarship before completing the course of study. 22 P a g e

PROOF OF ABORIGINALITY OR TORRES STRAIT ISLANDER DESCENDANTS FORM

PROOF OF ABORIGINALITY OR TORRES STRAIT ISLANDER DESCENDANTS FORM PROOF OF ABORIGINALITY OR TORRES STRAIT ISLANDER DESCENDANTS FORM INTRODUCTION Broome Regional Aboriginal Medical Service requires applicants to provide evidence of their Aboriginal and Torres Strait Islander

More information

Benefit transfer or payment request

Benefit transfer or payment request AON ELIGIBLE ROLLOVER FUND Benefit transfer or payment request Use this form to request a transfer/rollover of your benefit to another superannuation fund or a benefit payment to you. Transferring or paying

More information

PSS FORM 605 DIRECTIONS FOR PAYMENT OF AN INVALIDITY LUMP SUM BENEFIT. Giving your tax file number. How to direct us.

PSS FORM 605 DIRECTIONS FOR PAYMENT OF AN INVALIDITY LUMP SUM BENEFIT. Giving your tax file number. How to direct us. PSS FORM 605 DIRECTIONS FOR PAYMENT OF AN INVALIDITY LUMP SUM BENEFIT Please print clearly in black ink. Use this form If you are a member of the Police Superannuation Scheme (PSS) and your application

More information

CLAIMING A BENEFIT FACT SHEET

CLAIMING A BENEFIT FACT SHEET Leaving your employer If you cease employment with your current employer, you can remain a member of Club Super. Your account will continue to receive investment earnings, and you will regularly receive

More information

Request to Increase Insurance Life Event

Request to Increase Insurance Life Event Request to Increase Insurance Life Event Accumulation Scheme (Division 5) members only Use this form to apply to increase your insurance cover when a specific life event has occurred. As an accumulation

More information

LUMP SUM APPLICATION FOR PAYMENT OF A PRESERVED LUMP SUM ENTITLEMENT 1. PERSONAL DETAILS 2. TAX FILE NUMBER (TFN) 3. TYPE OF ENTITLEMENT APPLIED FOR

LUMP SUM APPLICATION FOR PAYMENT OF A PRESERVED LUMP SUM ENTITLEMENT 1. PERSONAL DETAILS 2. TAX FILE NUMBER (TFN) 3. TYPE OF ENTITLEMENT APPLIED FOR LUMP SUM APPLICATION FOR PAYMENT OF A PRESERVED LUMP SUM ENTITLEMENT Form Please complete all the details on this form in BLOCK LETTERS and return the signed original to. 1. PERSONAL DETAILS Mr Ms Miss

More information

Application for Disability Lump Sum SERB Scheme

Application for Disability Lump Sum SERB Scheme Application for Disability Lump Sum SERB Scheme Who should use this form? You should complete this form if you are a SERB Scheme member who is applying for a Disability Lump Sum benefit. Did you know?

More information

UNCLAIMED MONEY HOW TO CLAIM YOUR MONEY

UNCLAIMED MONEY HOW TO CLAIM YOUR MONEY UNCLAIMED MONEY HOW TO CLAIM YOUR MONEY Do not complete this form to claim funds where your search shows the Type of money as 'Banking', 'Life' or 'Company Gazette'; or if you are claiming funds listed

More information

Withdraw super from your Rollover Account

Withdraw super from your Rollover Account Withdraw super from your Rollover Account This is the form you should use when you withdraw your superannuation from the APSS Rollover. The minimum amount you may withdraw from your APSS Rollover Account

More information

SASS FORM 405 APPLICATION FOR BENEFIT PAYMENT UPON (OR DEFERRAL) How to apply. Use this form... Do not use this form. Notes for applicants

SASS FORM 405 APPLICATION FOR BENEFIT PAYMENT UPON (OR DEFERRAL) How to apply. Use this form... Do not use this form. Notes for applicants SASS FORM 405 APPLICATION FOR BENEFIT PAYMENT UPON (OR DEFERRAL) THE DEATH OF A SASS OF CONTRIBUTORY BENEFITS ON OR RETRENCHMENT DEFERRED BENEFIT MEMBER Please print clearly in black ink. Use this form...

More information

How to complete the AML/CTF Investor Identification Information Form

How to complete the AML/CTF Investor Identification Information Form How to complete the AMLCTF Investor Identification Information Form The Australian government has introduced legislation called the Anti-Money Laundering and Counter Terrorism Financing Act 2006 which

More information

Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) Undergraduate (Entry-Level) Scholarship Guidelines 2014/15

Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) Undergraduate (Entry-Level) Scholarship Guidelines 2014/15 Nursing and Allied Health Scholarship and Support Scheme (NAHSSS) Undergraduate (Entry-Level) Scholarship Guidelines 2014/15 The NAHSSS is funded by the Australian Government Department of Health Contents

More information

Statutory Declaration

Statutory Declaration Statutory Declaration Organisations must complete and submit this Statutory Declaration to the Australian Government Department of Education (the department), through the HELP IT System (HITS), when there

More information

Application for Accreditation as a Family Dispute Resolution Practitioner. Final Accreditation Standards

Application for Accreditation as a Family Dispute Resolution Practitioner. Final Accreditation Standards Submission no. Application for Accreditation as a Family Dispute Resolution Practitioner Final Accreditation Standards For assistance in completing this application, please refer to the: (i) Guide to completing

More information

Connecting your healthcare: a guide to registering for an ehealth record

Connecting your healthcare: a guide to registering for an ehealth record ehealth Registration Booklet Connecting your healthcare: a guide to registering for an ehealth record ehealth.gov.au Congratulations for taking your first step towards the ehealth record system! Personally

More information

Fixed insurance cover

Fixed insurance cover Fact sheet and form Fixed insurance cover When it comes to insurance cover, one size doesn t necessarily fit all. That s why you have the ability to convert your Death and Total & Permanent Disablement

More information

Life Events/Salary Increase cover

Life Events/Salary Increase cover Fact sheet and form Life Events/Salary Increase cover What this fact sheet covers This fact sheet provides information about Life Events insurance cover and Salary Increase cover available through our

More information

CLAIM FORM. "SELLING CLIENT" (Regulations 7.5.24 and 7.5.25 Corporations Regulations 2001) (Subdivision 4.3) WHERE TO SEND YOUR CLAIM FORM

CLAIM FORM. SELLING CLIENT (Regulations 7.5.24 and 7.5.25 Corporations Regulations 2001) (Subdivision 4.3) WHERE TO SEND YOUR CLAIM FORM SECURITIES EXCHANGES GUARANTEE CORPORATION LTD ABN 19 008 626 793 Trustee of the National Guarantee Fund ABN 69 546 559 493 Level 7, Exchange Centre, 20 Bridge Street Sydney NSW 2000 "SELLING CLIENT" (Regulations

More information

Statutory declaration

Statutory declaration Statutory declaration WHEN TO COMPLETE THIS STATUTORY DECLARATION Have you attempted to obtain the following from your payer? n Your payment summary n A copy of your payment summary n A letter stating

More information

TAE40110 Certificate IV in Training and Assessment Course Guidelines Information for Students and Workplace Observers

TAE40110 Certificate IV in Training and Assessment Course Guidelines Information for Students and Workplace Observers TAE40110 Certificate IV in Training and Assessment Course Guidelines Information for Students and Workplace Observers This document contains general information to support TAE40110 Certificate IV in Training

More information

Withdrawal Flexi Pension

Withdrawal Flexi Pension Fact sheet and form Withdrawal Flexi Pension You can make a full or partial lump sum withdrawal from your Flexi Pension account at any time. What this fact sheet covers This fact sheet explains the rules

More information

NAHSSS Allied Health Clinical Placement Specific Scholarship Guidelines 2015

NAHSSS Allied Health Clinical Placement Specific Scholarship Guidelines 2015 NAHSSS Allied Health Clinical Placement Specific Scholarship Guidelines 2015 This scheme is funded by the Australian Government Department of Health. Information for Scholarship Applicants... 3 1. Eligible

More information

Withdrawal Form 1 July 2015

Withdrawal Form 1 July 2015 Withdrawal Form 1 July 2015 OnePath Life Limited ABN 33 009 657 176 AFSL 238 341 242 Pitt Street, Sydney NSW 2000 Customer Services Phone 133 665 Email customer@onepath.com.au Website onepath.com.au Instructions

More information

STUDENT LOAN SCHEME APPLICATION FORM

STUDENT LOAN SCHEME APPLICATION FORM STUDENT LOAN SCHEME APPLICATION FORM 1. Instructions Please read the Student Loan Scheme Guidelines and Procedures available from Student Support Services and the International Centre or on our website

More information

TAE40110 Certificate IV in Training and Assessment Course Guidelines Information for Students and Workplace Observers

TAE40110 Certificate IV in Training and Assessment Course Guidelines Information for Students and Workplace Observers TAE40110 Certificate IV in Training and Assessment Course Guidelines Information for Students and Workplace Observers This document contains general information to support TAE40110 Certificate IV in Training

More information

Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying super fund.

Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying super fund. Benefit access Gesb Super and West State Super SUP E R ANNUATION Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying

More information

The Airlie Share Fund Application Form for Individual / Joint Investor / Sole Trader / Individual Trustee

The Airlie Share Fund Application Form for Individual / Joint Investor / Sole Trader / Individual Trustee The Airlie Share Fund Application Form for Individual / Joint Investor / Sole Trader / Individual Trustee This Application Form forms part of the Information Memorandum for The Airlie Share Fund (Fund).

More information

Payment of unclaimed superannuation money

Payment of unclaimed superannuation money Instructions and form for super fund members Payment of unclaimed superannuation money How to complete your Application for payment of unclaimed superannuation money individual. For information about unclaimed

More information

Information for temporary residents departing Australia

Information for temporary residents departing Australia Information for temporary residents departing Australia MLC Superannuation What is a Departing Australia Superannuation Payment? The Departing Australia Superannuation Payment (DASP) is the payment of

More information

Investing in Government Bonds of Victoria Designated Investments

Investing in Government Bonds of Victoria Designated Investments Treasury Corporation of Victoria Investing in Government Bonds of Victoria Designated Investments (Subclass 162, 165, 188B, or 405) May 2014 For further information please contact: Computershare Investor

More information

Application for Accreditation by Testing

Application for Accreditation by Testing Application for Accreditation by Testing OFFICE USE ONLY AUS NZ OS Please use blue or black ball point pen to complete this form. Please print in BLOCK LETTERS. NAATI Number: (if known) Part 1 Please provide

More information

A GUIDE TO THE FIRST HOME OWNER GRANT

A GUIDE TO THE FIRST HOME OWNER GRANT A GUIDE TO THE FIRST HOME OWNER GRANT 1. WHAT IS THE FIRST HOME OWNER GRANT? The First Home Owner Grant ( FHOG ) was established by the Federal Government to assist those purchasing their first owner occupied

More information

2014 Guidelines about Determining Student Eligibility and Supporting Evidence

2014 Guidelines about Determining Student Eligibility and Supporting Evidence Victorian Training Guarantee 2014 Guidelines about Determining Student Eligibility and Supporting Evidence Department of Education and Early Childhood Development Purpose The Victorian Training Guarantee

More information

Claiming a benefit Fact Sheet

Claiming a benefit Fact Sheet The information in this document forms part of the QIEC Super (PDS) issued 1 October 2014. This document is the Claiming a benefit Fact Sheet and is not attached to the QIEC Super PDS. If you would like

More information

WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME

WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME Issued 1 November 2014 Please use this form to transfer your whole superannuation balance to a KiwiSaver scheme. Transferring only part of your superannuation

More information

Nursing & Midwifery. Studies Assistance Grant Scheme. Information Pack 2015 Round 2. Nursing & Midwifery Studies Assistance Grant Scheme

Nursing & Midwifery. Studies Assistance Grant Scheme. Information Pack 2015 Round 2. Nursing & Midwifery Studies Assistance Grant Scheme Nursing & Midwifery Studies Assistance Grant Scheme Nursing & Midwifery Studies Assistance Grant Scheme Information Pack 2015 Round 2 www.nt.gov.au/health 1 Nursing & Midwifery Studies Assistance Grant

More information

Boat Registrations Boat Transfer Form Notification of change of ownership

Boat Registrations Boat Transfer Form Notification of change of ownership Boat Registrations Boat Transfer Form Notification of change of ownership Instructions The seller is to: complete the red sections on the purchaser s copy of this form ensuring all joint registered owners

More information

Application for benefit payment or transfer

Application for benefit payment or transfer Application for benefit payment or transfer Use this form if you want to cash in your benefit or transfer all or part of your super balance to another super fund. This form should not be used by temporary

More information

CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION

CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION PLEASE READ THESE INSTRUCTIONS CAREFULLY This is an interactive

More information

This guide may be varied, withdrawn or replaced at any time.

This guide may be varied, withdrawn or replaced at any time. This guide may be varied, withdrawn or replaced at any time. Contents How to apply for medical internship in NSW... 2 Who is eligible to apply?... 2 What is your application category?... 2 Guaranteed Category

More information

APPLICATION FOR ASSESSMENT: Special Education Teacher (not elsewhere classified) (ANZSCO 241599)

APPLICATION FOR ASSESSMENT: Special Education Teacher (not elsewhere classified) (ANZSCO 241599) Effective: 01 January 2014 APPLICATION FOR ASSESSMENT: Special Education Teacher (not elsewhere classified) (ANZSCO 241599) The Australian Institute for Teaching and School Leadership (AITSL) Ltd has been

More information

ACCOUNT APPLICATION FORM & IDENTIFICATION FORM

ACCOUNT APPLICATION FORM & IDENTIFICATION FORM ACCOUNT APPLICATION FORM & IDENTIFICATION FORM This form may be used to apply for a new Account or to verify the identity of an existing Provisional account holder. INSTRUCTIONS Please complete Section

More information

How To Get A Degree From Une

How To Get A Degree From Une !!!" #$!!" %&'&'& ()*(+',,,,- HOW TO APPLY The following application form can be used by potential international students to apply for admission to postgraduate research/higher degree research programs

More information

Graduate nurse and midwife recruitment prospectus for 2016. August 2015

Graduate nurse and midwife recruitment prospectus for 2016. August 2015 Graduate nurse and midwife recruitment prospectus for 2016 August 2015 Graduate nurse and midwife recruitment prospectus for 2016 Published by the State of Queensland (Queensland Health), August 2015 This

More information

Application for a departing Australia superannuation payment

Application for a departing Australia superannuation payment Instructions and form for temporary residents Application for a departing Australia superannuation payment How to complete your Application for a departing Australia superannuation (super) payment. WHO

More information

Form 11 Application for electrical work licence/permit (other than apprentice)

Form 11 Application for electrical work licence/permit (other than apprentice) Electrical Safety Office Form 11 Application for electrical work licence/permit (other than apprentice) V15.06-2014 Electrical Safety Act 2002 If you are applying for an additional electrical work training

More information

Identity Verification Form Australian Superannuation Funds and Trusts

Identity Verification Form Australian Superannuation Funds and Trusts Identity Verification Form Australian Superannuation Funds and Trusts To comply with our obligations under the Anti-Money Laundering (AML) and Counter Terrorism Financing (CTF), all new investors are required

More information

Lump sum benefit payment request for your superannuation or account based pension

Lump sum benefit payment request for your superannuation or account based pension Lump sum benefit payment request for your superannuation or account based pension How to claim a benefit To claim a benefit you will need to complete the attached Benefit Payment Request and send it direct

More information

LAST NAME GIVEN NAME(S) DATE CEASED / / LAST NAME GIVEN NAME(S) DATE CEASED / /

LAST NAME GIVEN NAME(S) DATE CEASED / / LAST NAME GIVEN NAME(S) DATE CEASED / / Application by an INDIVIDUAL FOR A NSW SECURITY LICENCE under the Mutual Recognition Act 1992 and/or Trans-Tasman Mutual Recognition Act 1997 OFFICE USE ONLY Application No: - Receipt No: - Trim No: To

More information

Authorised Signatory Form

Authorised Signatory Form Form Complete this form: to give a person other than your adviser the authority to act on your existing margin lending facility in all matters as if they were you (including but not limited to increasing

More information

Application Form for Assessment of Senior Management Skills for Migration

Application Form for Assessment of Senior Management Skills for Migration Australian Institute of Management Application Form for Assessment of Senior Management Skills for Migration Please fully complete the form incomplete applications may be returned Provide the supporting

More information

AINSLIE BULLION COMPANY STORAGE ACCOUNT APPLICATION

AINSLIE BULLION COMPANY STORAGE ACCOUNT APPLICATION AINSLIE BULLION COMPANY STORAGE ACCOUNT APPLICATION Please complete the below, ensuring you have also provided FOR EACH PARTY a certified copy of THEIR drivers license and passport, and copies of any trust

More information

Application for Department of Agriculture Approved Auditor

Application for Department of Agriculture Approved Auditor Application for Department of Agriculture Approved Auditor Export Control (Eggs and Egg Products) Orders 2005 Export Control (Fish and Fish Products) Orders 2005 Export Control (Meat and Meat Products)

More information

Application for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity

Application for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity The purpose of the application for adoption information: is deceased or does not have capacity form This form is for use by a relative or guardian of an adult adopted person to apply for adoption information

More information

Withdrawal Form Investment Savings Bond

Withdrawal Form Investment Savings Bond Withdrawal Form Investment Savings Bond 12 March 2014 OnePath Life Limited (OnePath Life) ABN 33 009 657 176 AFSL 238241 242 Pitt Street, Sydney NSW 2000 Customer Services Phone 133 665 Email customer@onepath.com.au

More information

Form 20 Application for additional/change of qualified person for a contractor licence

Form 20 Application for additional/change of qualified person for a contractor licence Department of Justice and Attorney-General Electrical Safety Office Form 20 Application for additional/change of qualified person for a contractor licence V12.06-2014 Electrical Safety Act 2002 INSTRUCTIONS:

More information

Puggy Hunter Memorial Scholarship Scheme

Puggy Hunter Memorial Scholarship Scheme Puggy Hunter Memorial Scholarship Scheme Indigenous health scholarships An Australian Government initiative to assist Indigenous students gain professional health qualifications and increase the number

More information

REQUEST FOR WITHDRAWAL

REQUEST FOR WITHDRAWAL REQUEST FOR WITHDRAWAL If you need help For assistance call NGS Super Customer Service Team on 1300 133 177. Step 1. Complete your personal details Please print in black or blue pen, in uppercase, one

More information

Early Childhood Intervention Postgraduate Scholarship Scheme Guidelines for Applicants

Early Childhood Intervention Postgraduate Scholarship Scheme Guidelines for Applicants Early Childhood Intervention Postgraduate Scholarship Scheme Guidelines for Applicants Program Information Who can apply for a scholarship? Scholarships are available to support early childhood intervention

More information

International Application

International Application International Application Personal Details Family Name: Given Names: Date of Birth (DDMMYYYY): Gender: Male Female Place of Birth: Nationality: Language(s) spoken at home: Passport Number: Passport Expiry

More information

Diploma of Financial Services (Financial Planning) and RG 146 Application Form

Diploma of Financial Services (Financial Planning) and RG 146 Application Form Diploma of Financial Services (Financial Planning) and RG 146 Application Form Please complete the Application Form for the Diploma of Financial Services (Financial Planning) FNS50804 and RG 146. If you

More information

Overseas Qualified Nurses Australian Nursing Induction Program

Overseas Qualified Nurses Australian Nursing Induction Program Overseas Qualified Nurses Australian Nursing Induction Program Course Outcome This course is designed to provide participants with the knowledge, skills and understanding to practice as a nurse safely

More information

Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING A TPD CLAIM TRIPLE S

Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING A TPD CLAIM TRIPLE S Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING A TPD CLAIM TRIPLE S > 1 IN THIS FACT SHEET > What is TPD? > Step 1 Lodging your claim > Step 2 Preparing your claim > Step 3 Assessing

More information

Change My Insurance Details Form

Change My Insurance Details Form Change My Insurance Details Form Please complete and return this form to: NESS Super, Locked Bag 20, Parramatta NSW 2124 Complete in pen using CAPITAL letters or type directly into this form and print

More information

Registration Bridging Program for Overseas Qualified Registered Nurses

Registration Bridging Program for Overseas Qualified Registered Nurses YOU MUST COMPLETE ALL SECTIONS. USE BLOCK LETTERS AP P LICAT ION FO RM 1. PERSONAL DETAILS. Mr Mrs Miss Ms Other:.. Your name must appear on this application exactly as it appears in your passport PERMANENT

More information

APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS

APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS REGISTRATION, EMPLOYMENT OR UNIVERSITY ENTRY This form is for the assessment of psychology qualifications for registration, employment or entry

More information

Contact: ACT Health Nursing & Midwifery Scholarship Team Nursing & Midwifery Office Level 3, Building 6 Canberra Hospital PO Box 11 Woden ACT 2606

Contact: ACT Health Nursing & Midwifery Scholarship Team Nursing & Midwifery Office Level 3, Building 6 Canberra Hospital PO Box 11 Woden ACT 2606 ACT Health Nursing & Midwifery Post Graduate Scholarship Scheme Guidelines & Information: 2016 Contact: ACT Health Nursing & Midwifery Scholarship Team Nursing & Midwifery Office Level 3, Building 6 Canberra

More information

Studies Assistance Grant Scheme 2015 - FAQ

Studies Assistance Grant Scheme 2015 - FAQ Studies ssistance Grant Scheme 2015 - FQ Semester 2 / Round 2 - Opens 18 July 2015 & Closes 15 September 2015 Q1 Who can apply for a DoH N & M Studies ssistance Grant for undergraduate / entry to practice

More information

Application for superannuation benefits temporary residents departing Australia permanently

Application for superannuation benefits temporary residents departing Australia permanently GPO Box 89 Melbourne Vic 3001 VicSuper Member Centre 1300 366 216 vicsuper.com.au Application for superannuation benefits temporary residents departing Australia permanently * Indicates that providing

More information

Advance Retirement Suite Super Early Release Financial Hardship Application

Advance Retirement Suite Super Early Release Financial Hardship Application Advance Retirement Suite Super Early Release Financial Hardship Application Trustee: BT Funds Management Ltd (BTFM) ABN 63 002 916 458 AFSL 233724 GUIDE TO COMPLETING THIS FORM > > Use this form if you

More information

APPLICATION PROCEDURES AND REQUIREMENTS FOR SPECIALIST ASSESSMENT

APPLICATION PROCEDURES AND REQUIREMENTS FOR SPECIALIST ASSESSMENT APPLICATION PROCEDURES AND REQUIREMENTS FOR SPECIALIST ASSESSMENT Australian Medical Council The purpose of the Australian Medical Council is to ensure that standards of education, training and assessment

More information

APPLICATION FOR ASSESSMENT: Secondary School Teacher (ANZSCO 241411)

APPLICATION FOR ASSESSMENT: Secondary School Teacher (ANZSCO 241411) Effective: 01 January 2014 APPLICATION FOR ASSESSMENT: Secondary School Teacher (ANZSCO 241411) The Australian Institute for Teaching and School Leadership (AITSL) Ltd has been gazetted by the Department

More information

Frequently Asked Questions (FAQs) and Answers Transition to Professional Practice Program (TPPP) Registered Nurses, 2016

Frequently Asked Questions (FAQs) and Answers Transition to Professional Practice Program (TPPP) Registered Nurses, 2016 SA Health Frequently Asked Questions (FAQs) and Answers Transition to Professional Practice Program (TPPP) Registered Nurses, 2016 Welcome to the SA Health Transition to Professional Practice Program for

More information

Farm Management Deposit (FMD) Application Form

Farm Management Deposit (FMD) Application Form Farm Management Deposit (FMD) Application Form INSTRUCTIONS FOR COMPLETING THE FARM MANAGEMENT DEPOSIT APPLICATION FORM Please read and complete sections A, B, D, E, F, H and I in BLOCK LETTERS using black

More information

Application for Admission to QUT as an International Student in a Research Program

Application for Admission to QUT as an International Student in a Research Program Queensland University of Technology Student Business Services Victoria Park Road Kelvin Grove Q 4059 Phone +61 7 3138 2000 Fax +61 7 3138 3529 www.international.qut.edu.au CRICOS No. 00213J ABN: 83 791

More information

The Airlie Share Fund. Application Form for Individual / Joint Investor / Sole Trader

The Airlie Share Fund. Application Form for Individual / Joint Investor / Sole Trader The Airlie Share Fund Application Form for Individual / Joint Investor / Sole Trader This Application Form forms part of the Information Memorandum for The Airlie Share Fund (Fund). The Fund is open to

More information

Opens 18 July 2015 Closes 15 September 2015

Opens 18 July 2015 Closes 15 September 2015 FAQ Ministerial Nurse Practitioner Scholarship 2015 Opens 18 July 2015 Closes 15 September 2015 Q1 A1 What is the Ministerial Nurse Practitioner Scholarship? The Ministerial Nurse Practitioner Scholarship

More information

APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS

APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS MIGRATION This form is for the assessment of psychology qualifications for the purposes of migration to Australia under the General Skilled Migration

More information

and MASTERS DEGREE BY THESIS (and Qualifier)

and MASTERS DEGREE BY THESIS (and Qualifier) P.O. Box 157, LISMORE NSW 2480 Telephone: (02) 6620 3414 Fax: (02) 6626 9145 APPLICATION FOR ADMISSION DOCTOR OF PHILOSOPHY (and Qualifier) and MASTERS DEGREE BY THESIS (and Qualifier) INSTRUCTION SHEET

More information

THE AUSTRALIAN NATIONAL UNIVERSITY COLLEGE OF BUSINESS AND ECONOMICS

THE AUSTRALIAN NATIONAL UNIVERSITY COLLEGE OF BUSINESS AND ECONOMICS THE AUSTRALIAN NATIONAL UNIVERSITY COLLEGE OF BUSINESS AND ECONOMICS RESEARCH SCHOOL OF FINANCE, ACTUARIAL STUDIES AND APPLIED STATISTICS HONOURS SCHOLARHSIP 1. INTRODUCTION CONDITIONS OF AWARD Each year

More information

Form 18 Application for a Queensland electrical contractor licence

Form 18 Application for a Queensland electrical contractor licence Electrical Safety Office Form 18 Application for a Queensland electrical contractor licence V17.06-2014 Electrical Safety Act 2002 INSTRUCTIONS: Read the guidelines when completing this application form.

More information

Guide to Lodging Application Form First Home Owner Grant Scheme

Guide to Lodging Application Form First Home Owner Grant Scheme Guide to Lodging Application Form First Home Owner Grant Scheme Guide to Lodging Application Form First Home Owner Grant Scheme NOTE This guide is for your assistance and should not be lodged with your

More information

ANU Agent Manager (Apply Online) for Undergraduate

ANU Agent Manager (Apply Online) for Undergraduate ANU Agent Manager (Apply Online) for Undergraduate This is not an application form and must not be sent to the University as a paper-based application. It is a form to be used only by ANU agents to register

More information

SELF-MANAGED SUPER FUND CASH MANAGEMENT & TERM DEPOSIT ACCOUNTS PRODUCT INFORMATION MAY 2016

SELF-MANAGED SUPER FUND CASH MANAGEMENT & TERM DEPOSIT ACCOUNTS PRODUCT INFORMATION MAY 2016 SELF-MANAGED SUPER FUND CASH MANAGEMENT & TERM DEPOSIT ACCOUNTS PRODUCT INFORMATION MAY 2016 ISSUED BY: Big Sky Building Society Limited ABN 30 087 652 079 AFSL / Australian Credit Licence No 237994. ADDRESS:

More information

Graduate Coursework Application for International Students

Graduate Coursework Application for International Students Graduate Coursework Application for International Students please read the enclosed Instructions before completing the form Lodging Applications By Mail: University Admissions The Australian National University

More information

Practice Nurse Incentive Program Guidelines. June 2011

Practice Nurse Incentive Program Guidelines. June 2011 Practice Nurse Incentive Program Guidelines June 2011 Contents Introduction 1 Is my practice eligible? 2 Minimum Qualifications of practice nurses and health professionals 3 How does my practice apply

More information

Introduction. Thank you for your interest in working with the Queensland Ambulance Service.

Introduction. Thank you for your interest in working with the Queensland Ambulance Service. Introduction Thank you for your interest in working with the Queensland Ambulance Service. This information package has been developed to inform potential applicants about the recruitment and selection

More information

CHC30113 Certificate III in Early Childhood Education and Care

CHC30113 Certificate III in Early Childhood Education and Care ENROLMENT APPLICATION FORM CHC30113 Certificate III in Early Childhood Education and Care About this application Use this Enrolment Application to apply for enrolment in the CHC30113 Certificate III in

More information

Susan Wakil Scholarship (Undergraduate) Information for Applicants 2016

Susan Wakil Scholarship (Undergraduate) Information for Applicants 2016 Susan Wakil Scholarship (Undergraduate) Information for Applicants 2016 Established in 2015, with funding from The Susan and Isaac Wakil Foundation, the Susan Wakil Scholarships aim to encourage individuals

More information

2016 Application & Registration Form ARF

2016 Application & Registration Form ARF ABN 82 055 042 852 Training Assessment 2016 Application & Registration Form ARF This form applies to medical practitioners who will be training in Australia and New Zealand. You can apply or register at

More information

Application for Bond Loan and Rental Grant assistance

Application for Bond Loan and Rental Grant assistance Office use only (application number) Bond Loan Rental Grant Application for Bond Loan and Rental Grant assistance The Department of Housing and Public Works provides Bond Loans and Rental Grants to people

More information

Enduring Power of Attorney Information Kit

Enduring Power of Attorney Information Kit Enduring Power of Attorney Information Kit Enduring Power of Attorney Information Kit This Information Kit has been prepared by the Public Advocate to give people a basic understanding of enduring powers

More information

Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names

Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names Stockbroking INDIVIDUAL/JOINT ACCOUNT application form Please only use this form when you wish to open a Suncorp Share Trade Account: in your name, or in joint names In order to process your application

More information

FIRST HOME OWNER RATE OF DUTY INDIAN OCEAN TERRITORIES

FIRST HOME OWNER RATE OF DUTY INDIAN OCEAN TERRITORIES FIRST HOME OWNER RATE OF DUTY INDIAN OCEAN TERRITORIES SECTIONS 141 146 OF THE DUTIES ACT 2008 (WA)(CI) & (CKI) APPLICATION FORM AND LODGMENT GUIDE A first home owner who is not eligible for the First

More information

Policy Document Fee-Help and Its Administration at ACPE

Policy Document Fee-Help and Its Administration at ACPE Policy Document Fee-Help and Its Administration at ACPE Contents 1. Preamble... 2 2. Nature of the FEE-HELP Scheme... 2 3. FEE-HELP Entitled students... 2 4. FEE-HELP Eligible Units of Study... 3 5. General

More information

To apply for the Swinburne Astronomy Online course go to http://astronomy.swinburne.edu.au/sao

To apply for the Swinburne Astronomy Online course go to http://astronomy.swinburne.edu.au/sao Direct Application form Certificate IV, Diploma, Advanced Diploma, Associate Degree, Degree, Degree (Honours), Pathways Direct, Postgraduate (Coursework) Studies Instructions to applicants Please follow

More information

Application for Australian citizenship by descent

Application for Australian citizenship by descent Application for Australian citizenship by descent Form 118 Who is eligible for Australian citizenship by descent? People born outside Australia after 26 January 1949 are eligible for citizenship by descent,

More information

Asbestos-Related Diseases - Claim for Compensation

Asbestos-Related Diseases - Claim for Compensation Asbestos-Related Diseases - Claim for Compensation (Member of the family) Asbestos-Related Diseases (Occupational Exposure) Compensation Act 2011 2 WHO CAN MAKE A CLAIM Certain family members of a person

More information

Application for Admission to QUT as an International Student in a Research Program

Application for Admission to QUT as an International Student in a Research Program Queensland University of Technology Student Business Services Victoria Park Road Kelvin Grove Qld 4059 Australia Phone 07 3138 2000 Fax +61 7 3138 3529 www.international.qut.edu.au CRICOS No. 00213J ABN

More information